This is the set of resources that conform to both Risk Adjustment Coding Gap Report Profile (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport) and Risk Adjustment Coding Gap MeasureReport (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MeasureReport | C | 0..* | This is a Risk Adjustment Coding Gap Report. dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components | |||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
ra-clinicalDataCollectionDeadline | S | 1..1 | date | left: This is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer and applies to the early-bird date if incentive were offered.; right: Extension URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport ele-1: All FHIR elements must have a @value or children | ||||
status | ?!SΣ | 1..1 | code | complete | pending | error Binding: ?? (required): The status of the measure report. ele-1: All FHIR elements must have a @value or children | ||||
type | SΣ | 1..1 | code | left: The type code is fixed to 'individual' for Risk Adjustment Coding Gap Report; right: The type code is fixed to 'individual' for a risk adjustment coding gap report Binding: ?? (required): The type of the measure report. ele-1: All FHIR elements must have a @value or children | ||||
measure | SΣ | 1..1 | canonical(Risk Adjustment Model Measure | #sd-ra-model-measure-ra-model-measure) | left: This references a measure that represents a Risk Adjustment model, such as CMS-HCC V24.; right: This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28. ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | What individual(s) the report is for ele-1: All FHIR elements must have a @value or children | ||||
date | SΣ | 1..1 | dateTime | When the report was generated ele-1: All FHIR elements must have a @value or children | ||||
reporter | SΣ | 1..1 | Reference(US Core Organization Profile) | Organization that generated the MeasureReport ele-1: All FHIR elements must have a @value or children | ||||
period | SΣC | 1..1 | Period | Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. ele-1: All FHIR elements must have a @value or children ra-1: Date precision SHALL be at least to day ( YYYY-MM-DD ) | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
start | SΣ | 1..1 | dateTime | Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children | ||||
end | SΣ | 1..1 | dateTime | End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children | ||||
improvementNotation | ?!Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. ele-1: All FHIR elements must have a @value or children | ||||
group | S | 0..* | BackboneElement | A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category. ele-1: All FHIR elements must have a @value or children | ||||
extension | 1..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | SΣ | 0..1 | CodeableConcept | Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example) ele-1: All FHIR elements must have a @value or children | ||||
population | 0..* | BackboneElement | The populations in the group ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). ele-1: All FHIR elements must have a @value or children | ||||
count | 0..1 | integer | Size of the population ele-1: All FHIR elements must have a @value or children | |||||
subjectResults | 0..1 | Reference(List) | For subject-list reports, the subject results in this population ele-1: All FHIR elements must have a @value or children | |||||
measureScore | Σ | 0..1 | Quantity | What score this group achieved ele-1: All FHIR elements must have a @value or children | ||||
stratifier | 0..* | BackboneElement | Stratification results ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | 0..1 | CodeableConcept | What stratifier of the group ele-1: All FHIR elements must have a @value or children | |||||
stratum | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
value | 0..1 | CodeableConcept | The stratum value, e.g. male ele-1: All FHIR elements must have a @value or children | |||||
component | 0..* | BackboneElement | Stratifier component values ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | 1..1 | CodeableConcept | What stratifier component of the group ele-1: All FHIR elements must have a @value or children | |||||
value | 1..1 | CodeableConcept | The stratum component value, e.g. male ele-1: All FHIR elements must have a @value or children | |||||
population | 0..* | BackboneElement | Population results in this stratum ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). ele-1: All FHIR elements must have a @value or children | |||||
count | 0..1 | integer | Size of the population ele-1: All FHIR elements must have a @value or children | |||||
subjectResults | 0..1 | Reference(List) | For subject-list reports, the subject results in this population ele-1: All FHIR elements must have a @value or children | |||||
measureScore | 0..1 | Quantity | What score this stratum achieved ele-1: All FHIR elements must have a @value or children | |||||
evaluatedResource | S | 0..* | Reference(Resource) | An evaluated resource is any data a clinician would need to independently arrive at the clinical inference that a Condition Category (CC) listed on a Risk Adjustment Coding Gap Report could be present for a patient. Risk adjusted evaluated resources may include practitioners, encounters, diagnoses, medications, labs, or any other clinical evidence that the suspecting algorithm may have used as supporting evidence to infer the presence of a Condition Category (CC) gap. ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
reference | Σ | 0..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children | ||||
display | Σ | 0..1 | string | Text alternative for the resource ele-1: All FHIR elements must have a @value or children | ||||
Documentation for this format |